围术期护理在烧伤后瘢痕整形手术患者护理中的应用效果(1)
[摘要]目的 探讨围术期护理在烧伤后瘢痕整形术患者护理中的应用效果。方法 选取2017年1～12月我院收治的96例烧伤后瘢痕整形手术患者作为研究对象，将其随机分为实验组和对照组，每组各48例。对照组给予常规手术治疗护理，实验组在此基础上接受针对性的围术期护理。比较两组的术后下地时间、住院时间、护理总满意率以及并发症发生率。结果 实验组术后下地时间、住院时间均短于对照组，且并发症总发生率也明显低于对照组，差异均有统计学意义(P<0.05)。实验组护理质量总满意率为93.7%，明显高于对照组的81.2%，差异有统计学意义(P<0.05)。结论 对烧伤后瘢痕整形手术患者给予针对性围术期护理，能促进患者恢复，减少围术期的并发症发生率，保障手术治疗效果，提高患者护理满意度。
[关键词]烧伤；瘢痕整形；围术期；护理措施
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2018)9(c)-0195-03
Effect of perioperative nursing care on patients undergoing scar surgery after burn
KANG Hua TAO Jian
Department of Plastic， the First Affiliated Hospital of Nanchang University， Jiangxi Province， Nanchang 330006， China
[Abstract] Objective To explore the effect of perioperative nursing care in patients undergoing scar surgery after burn. Methods From January to December 2017， 96 patients with post-burn scar plastic surgery were selected as the objects of study. They were randomly divided into experimental group and control group， 48 patients in each group. The patients in the control group were given routine operation nursing， and the patients in the experimental group were received targeted perioperative nursing on this basis. The postoperative landing time， hospitalization time， nursing satisfaction rate and complications were compared between the two groups. Results The postoperative landing time and hospitalization time in the experimental group were shorter than those in the control group， and the total incidence of complications in the experimental group was significantly lower than that in the control group (P<0.05). The total satisfaction rate of nursing quality in the experimental group was 93.7%， which was significantly higher than that in the control group 81.2%， the difference was statistically significant (P<0.05). Conclusion The perioperative nursing care of the patients with scar plastic surgery after burn can promote the recovery of the patients， reduce the incidence of complications during the perioperative period， ensure the effect of surgical treatment， and improve the nursing satisfaction of the patients.
[Key words] Burn； Scar plastic； Perioperative perio； Nursing measures
患者在發生深度烧伤(Ⅱ、Ⅲ度)后，创面经治疗会逐渐愈合，但是在创面愈合1～3个月左右会形成瘢痕[1]。瘢痕不仅会破坏患者的容貌美观，影响患者的自信，瘢痕增生还会发生挛缩引起功能障碍甚至畸形，严重影响患者的生活质量[2]。因此烧伤后期的瘢痕整形术也是烧伤治疗的重要环节之一，通过瘢痕整形术能预防烧伤后瘢痕的形成，尽量恢复容貌，减轻功能障碍，减少烧伤带给患者的痛苦[3-4]。但瘢痕整形术的治疗效果不仅与医师治疗技术密切相关，围术期的护理干预对治疗效果也有较大的影响。在围术期进行针对有效的护理措施，对保证手术治疗的效果，改善患者预后有重要意义[5]。本研究对我院收治的烧伤后瘢痕整形手术患者采取针对性的围术期护理，取得了良好的效果，现报道如下。, http://www.100md.com(康华 陶剑)
[关键词]烧伤；瘢痕整形；围术期；护理措施
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2018)9(c)-0195-03
Effect of perioperative nursing care on patients undergoing scar surgery after burn
KANG Hua TAO Jian
Department of Plastic， the First Affiliated Hospital of Nanchang University， Jiangxi Province， Nanchang 330006， China
[Abstract] Objective To explore the effect of perioperative nursing care in patients undergoing scar surgery after burn. Methods From January to December 2017， 96 patients with post-burn scar plastic surgery were selected as the objects of study. They were randomly divided into experimental group and control group， 48 patients in each group. The patients in the control group were given routine operation nursing， and the patients in the experimental group were received targeted perioperative nursing on this basis. The postoperative landing time， hospitalization time， nursing satisfaction rate and complications were compared between the two groups. Results The postoperative landing time and hospitalization time in the experimental group were shorter than those in the control group， and the total incidence of complications in the experimental group was significantly lower than that in the control group (P<0.05). The total satisfaction rate of nursing quality in the experimental group was 93.7%， which was significantly higher than that in the control group 81.2%， the difference was statistically significant (P<0.05). Conclusion The perioperative nursing care of the patients with scar plastic surgery after burn can promote the recovery of the patients， reduce the incidence of complications during the perioperative period， ensure the effect of surgical treatment， and improve the nursing satisfaction of the patients.
[Key words] Burn； Scar plastic； Perioperative perio； Nursing measures
患者在發生深度烧伤(Ⅱ、Ⅲ度)后，创面经治疗会逐渐愈合，但是在创面愈合1～3个月左右会形成瘢痕[1]。瘢痕不仅会破坏患者的容貌美观，影响患者的自信，瘢痕增生还会发生挛缩引起功能障碍甚至畸形，严重影响患者的生活质量[2]。因此烧伤后期的瘢痕整形术也是烧伤治疗的重要环节之一，通过瘢痕整形术能预防烧伤后瘢痕的形成，尽量恢复容貌，减轻功能障碍，减少烧伤带给患者的痛苦[3-4]。但瘢痕整形术的治疗效果不仅与医师治疗技术密切相关，围术期的护理干预对治疗效果也有较大的影响。在围术期进行针对有效的护理措施，对保证手术治疗的效果，改善患者预后有重要意义[5]。本研究对我院收治的烧伤后瘢痕整形手术患者采取针对性的围术期护理，取得了良好的效果，现报道如下。, http://www.100md.com(康华 陶剑)